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Enuresis.

A C Novello, J R Novello

Pediatric Clinics of North America

|June 1, 1987

Summary

This summary is machine-generated.

Bedwetting, or enuresis, is common and often resolves naturally. Key causes include small bladder capacity and delayed maturation, with most children not experiencing emotional issues.

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Area of Science:

Pediatrics
Urology
Developmental Psychology

Background:

Enuresis is a common condition, often familial, typically resolving by adolescence.
Functional enuresis is viewed as a normal variation in bladder control, not a disease.
Most children with enuresis do not present with emotional or behavioral problems.

Purpose of the Study:

To clarify the nature of functional enuresis.
To identify the primary causes of enuresis.
To guide appropriate management strategies for enuretic children.

Main Methods:

Review of existing literature on enuresis.
Analysis of etiological factors contributing to enuresis.
Evaluation of treatment outcomes for enuresis.

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Main Results:

Small functional bladder capacity and maturational delay are identified as relevant causes.
High rates of spontaneous remission support the concept of enuresis as a maturational delay.
Emotional or behavioral problems are present in only a subset of children with primary enuresis.

Conclusions:

Reassurance, supportive counseling, and time for spontaneous remission are the primary treatments for enuresis.
Medical or device interventions should be reserved for cases where enuresis significantly impacts development.
Understanding enuresis as a variation in development is crucial for effective physician management.